Campbell, Bruce Douglas

Campbell, Bruce Douglas is an individual health care provider with primary practice located at 8650 Hudson Blvd N Suite 105, Lake Elmo MN 55042-9747. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Campbell, Bruce Douglas can be contacted via phone (651) 636-1818.

Contact Information

Primary practice address
8650 Hudson Blvd N Suite 105 Lake Elmo MN 55042-9747
Phone: (651) 636-1818
Fax: (651) 636-1118
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D11317 Minnesota

Profile Details

NPI number 1598824583
LBN Legal business name Campbell, Bruce Douglas
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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